Syncope is a common symptom due to various causes, ranging from benign to life-threatening conditions.According to the evaluation and management of patients with syncope, they can be classified as being at short- or l...Syncope is a common symptom due to various causes, ranging from benign to life-threatening conditions.According to the evaluation and management of patients with syncope, they can be classified as being at short- or long-term risk.Risk stratification during initial evaluation is important for guiding the treatment, and reducing long-term morbidity and mortality.This paper introduces the new progress in the etiology, risk stratification, diagnostic methods and treatment strategies of syncope, and elaborates on the selection of initial assessment tools for syncope patients.In order to elevate the diagnostic accuracy rate of syncope, a systematic and holistic analysis of syncope patients was proposed, including the initial assessment of outpatients and emergency services as well as the observation and treatment during subsequent hospitalization.This paper suggests the management of syncope be considered as a focus, such as establishing syncope management units, taking structured care pathways,etc.Finally, it is suggested to make more efforts in aspects of randomized controlled trials, treatment and collaborative research in the future.展开更多
The differential diagnosis for pediatric patients with apparent transient loss of consciousness(TLOC)is a frequent challenge.True TLOC refers to a state of unawareness of a short duration(usually less than 5 min)that ...The differential diagnosis for pediatric patients with apparent transient loss of consciousness(TLOC)is a frequent challenge.True TLOC refers to a state of unawareness of a short duration(usually less than 5 min)that terminates spontaneously,during which the patient is unresponsive to speech,touch or pain and may exhibit abnormal motor activity,including jerking movements of the extremities[1].In general,the patients cannot recall the complete course of the episode,and any physical findings during the episode can only be obtained through the description of witnesses.展开更多
文摘Syncope is a common symptom due to various causes, ranging from benign to life-threatening conditions.According to the evaluation and management of patients with syncope, they can be classified as being at short- or long-term risk.Risk stratification during initial evaluation is important for guiding the treatment, and reducing long-term morbidity and mortality.This paper introduces the new progress in the etiology, risk stratification, diagnostic methods and treatment strategies of syncope, and elaborates on the selection of initial assessment tools for syncope patients.In order to elevate the diagnostic accuracy rate of syncope, a systematic and holistic analysis of syncope patients was proposed, including the initial assessment of outpatients and emergency services as well as the observation and treatment during subsequent hospitalization.This paper suggests the management of syncope be considered as a focus, such as establishing syncope management units, taking structured care pathways,etc.Finally, it is suggested to make more efforts in aspects of randomized controlled trials, treatment and collaborative research in the future.
基金supported by the Clinical Medicine Plus X-Young Scholars Project of Peking University,the Fundamental Research Funds for the Central Universities(PKU2022LCXQ028)the National High-Level Hospital Clinical Research Funding(Multicenter Clinical Research Project of Peking University First Hospital)(2022CR59).
文摘The differential diagnosis for pediatric patients with apparent transient loss of consciousness(TLOC)is a frequent challenge.True TLOC refers to a state of unawareness of a short duration(usually less than 5 min)that terminates spontaneously,during which the patient is unresponsive to speech,touch or pain and may exhibit abnormal motor activity,including jerking movements of the extremities[1].In general,the patients cannot recall the complete course of the episode,and any physical findings during the episode can only be obtained through the description of witnesses.
